Individual
DR. MARK J YURCHISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101
(270) 843-5111
(270) 783-3756
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
20232
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64202328
—
KY
Enumeration date
03/08/2006
Last updated
09/06/2018
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